Organization
PEOPLEFIRST
Active
Parent organization
KINDRED
Organization subpart
Yes
Provider details
NPI number
Legal business name
KINDRED
Authorized official
JUDY SMITH (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(715) 536-2918
Entity
Organization
Contact information
Practice address
1103 LAKEVIEW ST, MERRILL, WI 54452-3071
(715) 536-2918
Mailing address
1103 LAKEVIEW ST, MERRILL, WI 54452-3071
(715) 536-2918
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
284027
WI
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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